Organization
PACIFIC COAST MEDICAL CLINIC
Active
Other names
PCMC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AFSOUN SUE PANAHI (PRESIDENT)
(408) 438-2248
Entity
Organization
Contact information
Practice address
3067 MOORPARK AVE, SUITE 100, SAN JOSE, CA 95128
(408) 438-2248
(408) 244-7248
Mailing address
3067 MOORPARK AVE, SUITE 100, SAN JOSE, CA 95128
(408) 438-2248
(408) 244-7248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
32345
CA
175F00000X
Naturopath
ND-588
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A9504
CA
Other
Enumeration date
03/17/2015
Last updated
05/01/2015
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